Loading...
Homestead_Andis ST Gibson IAI2'r WO MEASLIER FORM 5-IA!ta PILESCIUBED BY ED IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS APPRIW Gibson County Auditor 101'N Main PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1341-2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the benefit anti to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Andis, M Shane/Tracey E RI Box 264 F A� Francisco IN 47649 Q 1780 M Shane Andis R1 Box 264 F State Parcel Number Lesal Description FRANCISCO IN 47649-9045 III I III I I I I I III I I III I I I 26-13-20-200-000.303-004 002-00303-00 LAKEWOOD HILLS LOT 1 1111111 nrt ton t11t n tot 11t t o n tutu C-1-D-7 _ _ __ _ _ _ — .x_ _ _ _ _ _ _ ____ • This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2: TAXPAYER INFORMATION Owner I First Middle ■ Last l c h ( Shay And/ s (Yl u e it,Address(number and street,city,state,and ZIP code) Same as property address Icg9 c . Lakewood CV . Frarci‘Scot IN Li71.0c/5" Spouse First Middle Last fiat e Eta I,t t- o1nel Mailing Address(N ter and street,city,state,and ZIP code) El Sante as property address )9 41 S L-aket,tc Cl/' , 1 rarcJSco IN c - 1149 Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner I Signature Date • CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION le, State Form 5473 (R2 / 5-92) 16 INSTRUCTIONS: See reverse side for filing instructions. YEAR [Hclo FILt CERTIFICATION STATEMENT I (We) ru that on the r day of arc 19_ I (We) occupied as our principal place of residence the following describe r at property for which a Home ad Prop t A. aimed: ❑ I (We) owned ❑Are buying under contract GIBSON COUNTY AUDITOR ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. CONTRACT RECORDED If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page PROPERTY DESCRIPTION County Township Taxing district (city, town, township) - Parcel number ©y legal description If an portion of the residential structure or the land not exceeding (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES County Township County - Township ,y certi he above statements are true, correct and complete. ignatur f daimAut ` V A dress umber and street, city, state, ZIP code) - HF vi ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. Other land (2) Total land (line I plus line 2) (3) Residential improvements Dwelling (4) Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, Correct, and complete. Signature of Assesor Date signed Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION 19_ Pay 19 Lesser of 1/2 Homestead Valuation or S2,000 ALLOWANCE S Signature of Auditor Date signed, r� IO